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Ophthal Plast Reconstr Surg. 2014 May-Jun;30(3):e59-61. doi: 10.1097/IOP.0b013e31829bb45c.

Bilateral dacryocystoceles in a pregnant woman.

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*Department of Ophthalmology, Gavin Herbert Eye Institute, University of California, Irvine, California; †Department of Ophthalmology, Yale Eye Center, Yale University, New Haven, Connecticut; ‡Department of Oculofacial Plastic and Orbital Surgery, Maryland Eye Associates, Annapolis, Maryland, U.S.A.


The authors describe, for the first time, bilateral, sequential large dacryocystoceles during pregnancy and review the literature for this presentation. A 26-year-old, 15-week pregnant woman presented with OD epiphora, diplopia, and pain in the setting of an inferomedial orbital mass. Surgical exploration and histopathology were consistent with a dacryocystocele, and a dacryocystorhinostomy was curative. She returned at 34-week gestation, with an identical presentation on the left side. Review of the literature reveals that dacryocystoceles occasionally present in adults; however, bilateral involvement may be unusual. Bilateral dacryocystoceles have not been previously reported in a pregnant woman.

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